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Mother Baby Case Study
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First Trimester
Sara, a 20 years old, living in the streets and an occasional mission, is found by the police having
excessive vomiting on the street. She is brought to the hospital and was admitted to the
emergency room. After some careful laboratory testing of blood and urine, the doctor diagnosed
her of being 12 weeks pregnant. Her hCG level is found to be abnormally high, which suggests a
multiple pregnancy. She is 5 foot and 10 inches tall, weighs 135 lbs, her blood pressure is 110/60
which is normal at her age. Sara’s heart rate is 80 beats per minute, respiration rate is 16 breaths
per minute, and current temperature is 98.6 degrees Fahrenheit. All are at normal condition.
Upon the preconception screening and counseling checklist, it is discovered that she is not sure
who the father is. She has no communication to her family and friends for the last three years. It
is her first pregnancy experience and she has no one to take care of her. She also said that she has
a history of using drugs. After running pre-natal labs, it is confirmed that she is expecting to have
twins. Going back, she was found on the streets having excessive vomiting so she was admitted
for having hyperemesis gravidarum because of high levels of hCG. Sara was NPO so she was
administered IV fluids to prevent dehydration. She was also administered anti-emetics as
prescribed by the doctor. Sara also complained about having yellowish mucus discharge, dysuria
or painful urination, pelvic pain, and itching around limbs, back of the knees, and groin area. She
is diagnosed also with having gonorrhea, scabies, and chlamydia. It needs to be immediately
treated because gonorrhea and chlamydia can be passed to the fetus so the doctor prescribed
Ceftriaxone, Azithromycin and Permethrin. For the drug test, results ...